A comparison of hand- and foot-activated surgical tools in simulated ophthalmic surgery

2012 ◽  
Vol 47 (5) ◽  
pp. 394-395
Author(s):  
Alain A. Proulx
Author(s):  
Silvia Frumento ◽  
Rinaldo C. Michelini ◽  
Rainer Konietschke ◽  
Ulrich Hagn ◽  
Tobias Ortmaier ◽  
...  

The development of a remotely operated, Co-Robotic Positioning Device (CRPD) for instrumental backing and optimal base position to robotic arms in tele-surgery is discussed. To optimise the setting of robotic operating rooms (ROR) by reducing the structures’ size around the patient and by selecting task-driven layouts, the design of a hanging servo-carrier coming from the ceiling is chosen, rather than a device located on the floor. The present study prospects a split-duty approach, distinguishing the Co-Robotic Positioning Device, CRPD, from the front-end effectors, each subsystem hierarchically controlled by remote location, in keeping with optimal protocols. The attention is focused on the slave-carrier, to establish an optimal design of the CRPD, based on the characteristics of robotic effectors and the surgical task. The CRPD is conceived to support (up to four) robotic effectors, each one equipped with proper tools (endoscope, scalpels, scissors, suture needles, etc.). The CRPD, actually, by optimally positioning the robotic arms, avoids the need of manual deployment, in current setups often necessary to avoid singularities or collisions. The Automatic Changing Device for Surgical Tools, ACD-ST, is another significant device of the conceived slave-carrier. It allows the tele-operating surgeon to change the tools (scalpels, scissors, etc.) by a direct command from his console. Example applications aim at ticklish endoscopic/tomic operations that require high accuracy with low involved forces such as cardio-thoracic-surgery, abdominal surgery, spine-surgery, microsurgery (neurosurgery, hand-surgery, ophthalmic-surgery, ear-nose-throat surgery), say, the typical domains of MIRS, where robotic surgery is quickly expanding.


Author(s):  
Guochao Bai ◽  
Peng Qi ◽  
Kaspar Althoefer ◽  
Duanling Li ◽  
Xianwen Kong ◽  
...  

Development of a mechanism with dual remote center of motion (dual-RCM mechanism) intended for teleoperated ophthalmic surgery is reported in this paper. First, characteristics of RCM mechanisms are analyzed. Then, a method to synthesize dual-RCM mechanisms is proposed. Further the mechanical design parameters are optimized to synthesize types of mechanisms meeting functional requirements as well as workspace constraints. The dual-RCM mechanism intended for teleoperated ophthalmic surgery includes two end-effectors: one provides the tool insertion, the other tracks eye movement. The superiority is embodied in the self-synchronized motion of double end-effectors, which allows RCM point of the working instrument to track the penetration point real-time, thereby enhancing microsurgical accuracy. In the proposed implementation, a conceptual helmet mechanical architecture integrating surgical tools with triple-parallelogram linkages is introduced to release the surgeon’s hands by enabling more robotic technologies during the procedures. The vision of the research is to help revolutionize the ophthalmic surgical procedures from bimanual fashion to master-slave teleoperation.


2012 ◽  
Vol 47 (5) ◽  
pp. 414-417 ◽  
Author(s):  
Dominik W. Podbielski ◽  
Jason Noble ◽  
Harmeet S. Gill ◽  
Marisa Sit ◽  
Wai-Ching Lam

2004 ◽  
Vol 21 (2) ◽  
pp. 101-106
Author(s):  
D. Henzler ◽  
R. Kramer ◽  
U. H. Steinhorst ◽  
S. Piepenbrock ◽  
R. Rossaint ◽  
...  

Author(s):  
A.O. Ivanov ◽  
◽  
V.P. Fokin ◽  
L.N. Boriskina ◽  
M.A. Lopatin ◽  
...  
Keyword(s):  

Ophthalmology ◽  
2021 ◽  
Author(s):  
Cindy Ung ◽  
Yoshihiro Yonekawa ◽  
Jennifer F. Waljee ◽  
Vidhya Gunaseelan ◽  
Yenling Lai ◽  
...  

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